DVCUB STUDENT Program Application

  • DVC UPWARD BOUND PROGRAM - STUDENT APPLICATION

    The Upward Bound Program (UB) at Diablo Valley College (DVC) is a year-round, pre-college program designed to assist high school student’s transition to college. Upward Bound works in collaboration with the schools, colleges and the community to provide educational opportunities and support to achieve these goals. We are currently recruiting at all grade levels at Concord, Mount Diablo, and Ygnacio Valley High School.

  • Eligibility Requirements 

    • Enrolled at Concord, Mount Diablo, OR Ygnacio Valley High School
    • Low Income and/or potential first-generation college student

    Services Available 

    • Preparation for high school graduation and college admissions tests
    • Assistance and guidance in following a college preparatory curriculum
    • Information and assistance in completing college applications and financial aid forms
    • Bi-monthly seminars and academies on Saturdays (Saturday Academy)
    • Daily, non-residential summer program (Six Week Program)
    • Exploration of educational and career opportunities
    • Weekly tutoring in core academic subjects
    • Educational, cultural and college field trips
    • Summer bridge program for graduating seniors

    Application Checklist 
    Please ensure that the necessary items in the checklist below have been attached prior to submitting your application.

    • Meet Eligibility Requirements
    • Complete and Submit Upward Bound Application
      • Submit all application parts through JotForm Links: Student Application, Student Self-Assessment, and Parent Application.
      • Student and Parent/Guardian name and/or signature on all pages where applicable.
      • Acknowledge Upward Bound Student Commitment on page 2
    • Have teachers complete the Teacher Evaluation Forms through JotForm (English, Math and Science (or Foreign Language) Teachers) 
      • ALL PARTS OF THE APPLICATION MUST BE SUBMITTED FOR A COMPLETE APPLICATION
    • Submit Required Documents to the TRIO Program Director upon request.
      • Proof of Citizenship (if student is not claimed on Parent/Guardian's taxes)
        • US Citizenship (Copy of Social Security Card) or
        • Legal Residency (Copy of Alien Registration Card) or
        • Pending Residency Status (Copy of Notification of Application Letter)
      • Income Verification of Parent /Guardian (Only one of the following documentation must be attached)
        • Copy of tax form (1040) for 2025 or
        • Copy of Unemployment for 2025 or
        • Copy of AFDC/TANF Annual Statement for 2025 or
        • Copy of Annual Social Security Benefits Statement for 2025
    • Student Interview 
    • Parent Interview 
    • Lastly, once the application is completed and submitted the Student and Parent/Guardian will receive an acceptance letter by mail.

    For questions or assistance with this application, please contact our program staff:

    Interim Program Coordinator: Miranda Rosas at mrosas@dvc.edu
               Program Assistant :
    DVC UB Office: dvcupwardbound@dvc.edu

    THIS PAGE IS FOR YOUR RECORDS TO KEEP.
    100% Federally Funded || UBI $309,505 || UBII $226,970

  • STUDENT INFORMATION

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  • Upward Bound (UB) Student Commitment

  • We must also review your academic progress. Please give your English teacher, Math teacher and Science or Foreign Language teacher the JotForm Teacher Evaluations Form Links: https://form.jotform.com/202456583980059.

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  • STUDENT PERSONAL STATEMENT

    All of us have dreams - of what we want to be, as we grow older, what we hope to achieve for ourselves and how we can make a positive contribution to society. In the questions below, tell us what you hope to accomplish in your life with the help of DVC Upward Bound, and how that relates to you moving forward to college. Please write write clearly and neatly as you respond to each question. You may attach additional sheets if necessary. Make sure to proof read your answers before submitting.
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  • Student Certification

  • Information Release: I would like to be part of the UB program. I authorize the DVC Upward Bound (UB) to obtain documents information relative to and consistent with my education. Examples of these documents may include and are not limited to a copy of my school transcript, test scores, ACT/SAT or GED scores, and school lunch program eligibility. I authorize UB to obtain information related to my application for receipt of student financial assistance (federal, state, or other), a copy of my award notification from the financial aid office, college admission acceptances and registration information. I give my college of attendance and National Student Clearinghouse permission to disclose my college enrollment status and degree attainment data to the CCCCD/DVC UB staff for the purpose of tracking my college enrollment and completion. I hereby give my permission for my name, photograph, work, and/or statements to be used by Diablo Valley College/UB for promotional, publicity (web pages, social media, brochures, newspaper, etc, or instructional purposes.

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  • Needs Assessment

    Tell us what services you need from Upward Bound to ensure that you graduate from high school ready to enroll in and be successful in college.
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  • Please attach IEP / 504

    You marked that you have a physical or learning disability at the beginning of this application. Please upload your IEP / 504. You can take a photo or scan the document(s) and them upload here.
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  • Please Submit Your Student Application

  • For questions or assistance with this application, please contact our program staff:

    Miranda Rosas, Interim Program Coordinator| mrosas@dvc.edu
     Program Assistant|
    DVC UB Office| dvcupwardbound@dvc.edu

     

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